Tip: choose "Save as PDF" in the print dialog to download. 2 pages — page 2 is meant to be photocopied per resident.
Page 1 of 2
Nawayalatenna Grama Niladhari Area
House & Resident Data Collection Form
නිවාස හා නිවැසියන් තොරතුරු එකතු කිරීමේ පත්රිකාව / வீடு மற்றும் குடியிருப்பாளர் தகவல் சேகரிப்பு படிவம்
Please write clearly in BLOCK LETTERS. This is page 1 of 2 — fill house/property details below. Page 2 covers one resident; photocopy it for every additional person living in the house. This form will be entered into the online system later by a village officer. කරුණාකර පැහැදිලිව ලියන්න. / தெளிவாக எழுதவும்.
A. House / Property Information / නිවාස තොරතුරු / வீட்டு தகவல்
Page 2 of 2 — photocopy this page for each additional resident
B. Resident Information / නිවැසියන් පිළිබඳ තොරතුරු / குடியிருப்பாளர் தகவல்
One resident per copy — write this person's number in the box above (1, 2, 3 …) and photocopy this page for every other resident of the house.
Employed (රැකියාවේ නිරත / வேலையில் உள்ளவர்)Studying (අධ්යාපනය / படிப்பில் உள்ளவர்)Retired (විශ්රාමලාභී / ஓய்வு பெற்றவர்)Looking for better employment (වඩා හොඳ රැකියාවක් සොයයි / சிறந்த வேலை தேடுகிறார்)Need employment (රැකියාවක් අවශ්යයි / வேலை தேவை)No need for employment (රැකියාවක් අවශ්ය නැත / வேலை தேவையில்லை)